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Home My WebLink About2008-P11815 - addn/remodel/repair i � � PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P11815 Crystal Bay, Minnesota 55323 Permit Type: Addition/Remode 1/Repair (952) 249-4600 Date Issued: 1/24/2008 SITE ADDRESS: 2811 Farview La Unit# Long Lake,MN 55356 P�� 04-117-23-34-0003 DESCRIPTION: UBC Occupancy R3 Construction Type VN Proposed Use: Residential Census Code 434 Permit Class: Building Addition/Remodel/Re air Permit Sub-typc(s): Addn/Remodel/Repair Permit Type: p DETAILS: Appro��cd per resolution#: Separate permits required: Electrical (state) NOTICES/REMARKS: Muderoom Renovation FEE SUMMARY: PermitFee: $ 413.00 valuatiou: $ 25,000.00 Plan Review Fee: $ 268.45 State Surcharge Fee: $ 12.50 TOTAL FEE: $ 693.95 APPLICANT: Reed Remodel &Restoration OWNER: Kathryn Tabner&Micheal Boardman 5521 Perry Avenue N. 2811 Farview La Crystal,MN 55429 Long Lake,MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSfON TO MAKE THE REAL fMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � , APPLICANT P�RMITEE SIGNA RG ISSUGD 13Y SIGNA7'URE Copies: ]-File(Sig�:atures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 . ,�,�� Q � Total Fee: � �9�• 9S Date Received: !��Z-Dc.Z ,_ Entered By: Permit#: �� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------ -- � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: �<< �� -� ZIP: � 3� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Y0S � NO If yes, a special event permit is requir�•ed with Police Departrnent arzd City Council upprova! 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates suff cient on-site parking is available. Non-permitted events will not be allowed. NAME OF OWNER: �%� �-�t �c��''�a� PHONE: (home) ��a' �76- d4 3 7 (work) MAILING ADDRESS: a� �t F�R�".�"' �� CITY: U✓��,� ZIP: �3� CONTRACTOR: �� I�eµ•-�.�.� � �-S�c.v�-�'-� PHONE: ��2 �"70 3-��'`� CONTACT PERSON: �,,,�a.., `�.�;,,,.,,,, t� MOBILE/PAGER: (�r2- ?03 � �?�� MAILING ADDRESS: S3'�--� �r� a►�.- CITY: �✓y S�*-� ZIP: S�"'Y� STATE LICENSE: # �S-g�9 6 EXPIRATION DATE: 3-3��08 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Hame Addition Accessory Structure Move Home Remodel/Alteration (ie: Siding, Windows) X Any earth movement may require MCWD review and permits ! PROPOSED WORK(describe in detai�: /Gl��✓�,�..� �.µd✓�..�,��.-� STORIES: 3 SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z S�c� I hereby apply for a building permit and I acknowledge that the information above is co�nplete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and wor is not to start without a permit;and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: �� DATE: � �—�� i 31 + � Sec13.04 RIGHTS OF SUBJECTS OF DATA Subd. l Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An�ndividual asked to supply private orconfidential data conceming himselfshall be informed of. (a)the purpose and intended use of the requested data within the collecting state agene}�,political subdivision,or statewide system;(b) whether he may refuse or is legal ly required to supply the requested data;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,s�bdivision 5,to a law enforcement officer. The commissioner of revenue may nlace the notice required under this subdivision in the individual income tax or proper[y tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to a responsible authority,an individual shall be informed whether he is the subject of stored data on individuals,and whether it is classified as public,priva[e or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be sho�vn the data without any charge to him and,if he desires,shall be informed ofthe content and meaning of that data. After an individual has been shown the private data and informed of its meaning,the data need not be disclosed to him for six mon[hs thereafrer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies ofthe private or public data upon request by the individual subject ofthe data. The responsible authoriry may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of the date of the request,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot comply with the request within that time,he shall so inform the individual,and may have an additional five days within which to comply with the request,excluding Saturdays, Sundays and legal holidays. Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature ofthe disagreement. The responsible authority shall within 30 days either. (a)correct the data found to be inaceurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authoriry may be appealed pursuant[o the provisions ofthe administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Rights of subjects of data",we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address C�h' State Zip Phone 1 understand my ri s as stated above. _ i �""__�_ , I— 16—o�0 , / Si�nature , i IteseY Form 32 , . CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESSORLEGAL: � g 1 � �� ,�� L�,�� PID: DESCRIPTION OF WORK: �h Gv �,�v! o� ��fro� ZONING REVIEW BY.• y�P�� ~ r� DATEAPPROVED: h•Zv � BUILDINGREVIEN'BY.• DATEAPPROVED: l -Z�(-�� _____�__ -----�L------__________�__ ____�_ FEES TO BE CHARGED: Misc. Fees Calculated By: M�� y ~~�_ PERMIT Yes �i� No PLAN REVIEW Yes �� No SEWER CONNECTION STATE SURCHARGE Yes_�/ No u'ATER CONNECTION INVESTIGATION FEE Yes No� - PARK FEE SAC Yes No � ' SITEINSPECTION Number of SAC Units OTHER (spec�) --------_____�__________�____--------- ZONING CHECKLIST ZoningDistrict: NV CI-f-�vG-P ~ W�� M Fire Department: Post Off ce: School District: Lot Area: Sg ft. Acr•es Width Depth Survey Submitted: Yes No Date of Survey: Proposed Setbacks: Front(Lake): Right Side: Rear(Street): Left Side: Adjacent Structures: etland: Building Height• Def. Hgt. P k Hgt. Lot Coverage: Grading: StaffApproval Date: By: Council App�•oval Date: Septic: StaffApp�-oval Date: 1�' ��(� By. (.-�� Zoning File: # Resolution: # Resolution Date: Shoreland District� MCWD Permit: Avg. Setback: BluffSetbac : LotCoverage.• EYisting Proposed Hardcover: 0-75' 75-250' 250-500' �00-1000' Hardcover i�ariance Required: 3'es No Date of Council Approval: REMARKS(in house): ; 33 B UILDING REVIEW CHECK LIST UBC: ��" 3 CONSTRUCTION TYPE: `I� Sq Footage $Per Sg Ftg Basement x = 1 st Floor x = 2nd FZoor x = Garage x = x = TOTAL Estimated Construction Value: $ ZS cJ�o `'° Inspections Required: Work Requiring Separate Permits: Site ��rg Fire Hardcover Removal Mechanical i�ater Connection Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other Wall Board (Mfg.) Well(State Permit) _�Final Grading/Filling D< Electrical(State Permit) Other REMARKS(INHOUSE): REVIEW BY OTHERS: DATE: Access: Existing New Access Approval: Date By: REMARKS (TO BE NOTED ON PERMIT): 34 �� ✓ ATE �/ TIME CITY OF ORONO CALLED IN �5� v?5 � ', INSPECTION NQ�ICE SCHEDULED �__�L� PERMIT NO. �`�� S COMPLETE ADDRESS � �/� ��/`!�� G�-1?G� OWNER CONTR. ��/fLCJ TELEPHONE NO. ' �v� — D "�J'7 � DESCRIPTION __ -.:� �� , � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ NARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ": SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN NOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �'� �� White Copyllnspector's File Canary CopylSite Notice